REDUCED EXPOSURE: WHAT DOES IT TELL US AND WHAT DOESN’T IT TELL US?
When someone is exposed to lower levels of harmful substances we know their exposure has decreased. However,this alone does not tell us how much their health risk has decreased.
WHAT DOES “REDUCED RISK” MEAN IN TOBACCO HARM REDUCTION?
It simply means less risk compared with something riskier. For someone who smokes, it means choosing an option that may carry less risk than smoking.
In October 2025, our event explored how Nigeria could adapt Sweden’s approach through evidence-based policies and accessible, acceptable and affordable lower-risk alternatives.
https://t.co/mSmPqHjVDH
SURVEY for adult nicotine vapers who quit smoking by vaping.
QUESTION: Since I quit smoking, the number and severity of my lung infections has been...
If you've experienced almost complete cessation of chest infections, please put (E) in the comments.
Please repost 🙏
So the conversation shouldn’t just be about whether someone quits or continues. We should also ask where the harm comes from and whether there are ways to reduce exposure to it.
Quitting should always be encouraged but what about those who continue to smoke despite trying to quit? Reducing the harm from continued smoking deserves a place in the conversation. It’s not about making smoking safe it's about reducing risk.
Quitting should always be encouraged but what about those who continue to smoke despite trying to quit? Reducing the harm from continued smoking deserves a place in the conversation. It’s not about making smoking safe it's about reducing risk.
“Safe” or “dangerous” isn’t always the whole story. In tobacco harm reduction the better question is how does the risk compare with continuing to smoke?
Risk is relative.
5. “IF THEY’RE NOT RISK-FREE, WHY CONSIDER THEM?”
They don’t have to be risk-free to be a lower-risk option. For adults who smoke, switching away from cigarettes may reduce exposure to harmful substances from burning tobacco. That’s harm reduction.
4. “NICOTINE IS WHAT MAKES CIGARETTES SO HARMFUL.”
Nicotine keeps people dependent on cigarettes but the smoke from burning tobacco contains many toxic substances that cause much of the serious harm linked to smoking.
3. “NO SMOKE MEANS NO RISK.”
Not exactly. Nicotine is addictive and nicotine pouches still carry risks. The fact that there’s no tobacco burning doesn’t make them harmless.
New Zealand's tobacco sales fell more than 20 percent in 2025 alone, and have more than halved over the past decade. This is real world evidence policymakers across Asia Pacific should study. #AFN26, #NZ, #AsiaPacific https://t.co/CovqayHv8f https://t.co/KZ5gr32u22
Australia is debating whether cigarettes should be cheaper or criminals should be chased harder. That misses the third and most important lever: make regulated, substantially safer alternatives genuinely accessible to adults who smoke. A credible tobacco policy must reduce smoking, reduce crime and give consumers a lawful way out.
"Nicotine isn’t harmless—but treating every nicotine product as equally dangerous obscures an important public-health distinction.
From cigarettes and vaping to pouches, gum, and patches, cardiovascular risk falls along a continuum shaped not just by nicotine, but by how it is delivered, especially by whether tobacco is burned."
@ACSHorg https://t.co/pMofuR6Y57
The next time someone says “I miss smoking,” ask what they actually miss . Is it the nicotine,the habit or both? That difference matters when we talk about quitting and tobacco harm reduction.
IS IT NICOTINE YOU MISS, OR THE HABIT OF VAPING OR SMOKING?
When people quit smoking or vaping they don’t only have to deal with nicotine cravings. Sometimes they also miss the routine and behaviour that became part of their day.
This is why quitting can be difficult even when someone really wants to stop. They are not only breaking their dependence on nicotine,they are also trying to break routines they may have repeated hundreds of times.
This is where behavioural substitutes can help some people.Chewing gum,having a mint,drinking water or keeping your hands and mouth busy can help replace parts of that familiar routine even though they don’t replace nicotine.